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Medical Claims Processor Training

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Medical claims processor training provides the necessary knowledge to prepare, analyze, and process medical insurance claims for hospitals, doctor’s offices, or insurance companies. Experienced professionals can even advance to managerial positions or start their own medical claims service.

Accreditation

When choosing a medical claims processor training program, make sure the school is accredited by either the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or by the American Health Information Management Association (AHIMA). Accredited programs usually mean that students are eligible to sit for certification.

Degree Options

Medical claims processor training can either be obtained through a one-year certification program, an associate’s degree, or a bachelor’s degree. Perspective students have the option of taking courses either through their state or local community college. If time is an issue, then they may choose to enroll in an online distance-learning program.

Coursework

Through their coursework, students will become familiar with medical terminology, human anatomy, medical coding, health insurance plans, such as Medicare and Medicaid, medical law, and the different types of medical billing forms. Toward the end of the program, students will also have the opportunity to complete an externship either at their local hospital or through a doctor’s office.

Financial Aid

Students looking for a way to pay for medical claims processor training can utilize Federal Student Aid programs, which offer financial assistance in the form of grants, loans, and work-study programs. The AHIMA Foundation also offers merit scholarships to outstanding undergraduate students in the health information field.

Certification

Once training is complete, students can obtain their Certified Medical Reimbursement Specialist (CMRS) credential on line through the American Billing Association (AMBA). After receiving the credential, claims processors are required, each year, to maintain 15 continuing education units (CEUs).

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Writer

Mindy Schwartz is a freelance writer who regularly contributes to eHow and Answerbag. She has also been a copywriter for more than five years. Her product ad copy has been featured in several trade, online, and local publications, such as GiftWare News, StyleBakery.com, Woman's World, and The NH Mirror.

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LightFieldStudios/iStock/GettyImages